Individual
REBECCA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN., CDE
Contact information
Practice address
310 SANTA FE DR, ENCINITAS, CA 92024-5110
(760) 753-5594
(858) 784-5933
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
247010
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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